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multiple choice practice questions Leave the first rating Students also studied Terms in this set (88) Science MedicineNursing Save Practice (NCLEX) Multiple Choice Q...124 terms LaurenHannagan Preview Exam Cram NCLEX-PN PRACTICE Q...103 terms summer3266Preview 75 Free NCLEX Questions - c/o Brilli...75 terms carey47Preview CPNRE 464 term Lex Which nursing measure is appropriate to break a link in the chain of infection?
- Wash hands before and after caring for a patient
- Place contaminated linens in a yellow paper bag
- Use personal protection equipment sparingly
- Wear gloves at all times
- Becoming ill with tetanus and receiving tetanus toxoid
- Having chickenpox
- Receiving a rabies shot after being bitten by a rabid
- Receiving an injection of gamma globulin
- They interfere with typing
- They could harbor microorganisms
- They could fall off in a patient's bed
- They can scratch the patient
a The nurse determines that a patient has active immunity to a microorganism. Which of the following would cause the patient to develop this type of immunity?
dog
b Which is the primary reason why the nurse should avoid wearing artificial nails?
b
The nurse is caring for a patient with Clostridium difficile infection. Which behavior indicates that the nurse needs additional information about this disease?
- Wears gloves during a physical assessment
- Enters room without first putting on a mask
- Performs hand hygiene with an alcohol-based
- Wears a gown while providing incontinent care
- Apply a mask to the patient
- Apply a mask and gown to the patient
- Apply a mask, gown, and gloves to the patient
- Notify the x-ray department so that the personnel can
- All food will be cooked before eating
- Only bottled water will be used for drinking
- All toileting areas will be cleaned daily with soap and
- Staff will practice standard precautions when changing
- Complete an injury report.
- Allow some bleeding.
- Initiate first aid.
- Wash the area with soap and water.
- Cold water
- Hot water
- Warm water
- Water-based sanitizer
disinfectant
c A patient diagnosed with tuberculosis is scheduled to go to the radiology department for a chest x-ray. Which nursing intervention would be appropriate when preparing to transport the patient?
be sure to wear a mask when the patient arrives a A nurse employed in a preschool agency is planning a staff education program to prevent the spread of an outbreak of an intestinal parasitic disease. The nurse includes which priority prevention measure in the educational session?
water
diapers and assisting children with toileting d The nurse has just been stuck with a syringe while dropping it into a sharps container that was too full in a patient's room. What action should the nurse take first for this puncture wound?
b The nurse is educating a patient about proper handwashing techniques. She instructs the patient to use which of the following in order to better protect the skin?
c
What is the most effective nursing action for preventing and controlling the spread of infection?
- Always wearing gloves when completing patient care
- Thorough handwashing
- Placing patients in isolation as appropriate
- Widespread use of antibiotics
- Disinfecting an item before adding it to a sterile field
- Allowing sterile gloved hands to fall below the waist
- Suctioning the oral cavity of an unconscious patient
- Touching only the inside surface of the first glove while
- Grasping the edge of the outermost flap and opening
- Keeping objects on the field 1 inch from the edge
- Keeping the sterile field in eyesight
- Transferring a sterile object to a sterile field with a
- Class A
- Class B
- Class C
- Class ABC
- 7 East
- 6 South
- The emergency department
- The medical office building
- Insert a tongue blade into the patient's mouth.
- Loosen any clothing around the neck and chest.
- Restrain the patient.
- Turn the patient to the supine position if possible.
b The nurse is setting up a sterile field. Which action by the nurse best exhibits surgical asepsis?
pulling it onto the hand d The nurse is concerned that a break occurred in a sterile field. Which of the following would cause such a break?
it away from oneself
clean gloved hand d A nurse comes across a fire in a patient's room caused by a candle flame and multiple books lying on the bedside table. Which class of fire extinguisher should be used for this type of fire?
a A fire is contained to one patient unit on the 7th floor (7 West). The patients on 7 West should be moved to what location?
a While the nurse is performing morning care, a patient begins to have a seizure. What should the nurse do to help this patient?
b
Body temperature may be measured in all of the following ways except which of the following?
- Axillary
- Rectal
- Temporal
- Radial
d
A sleeping patient has the following vital signs:
respiratory rate of 10, temperature 98.5, blood pressure 135/75, heart rate 78, and oxygenation 98%. Which of the following actions should the nurse take?
- Continue to monitor the patient
- Call the physician to report the vital signs
- Arouse the patient from sleep
- Call the charge nurse for assistance
- Environment
- Race
- Circadian rhythms
- Exercise
- Hormones
a Factors that can affect the body temperature include which of the following? (select all that apply)
: A, C, D, E
Which determinant of blood pressure would best explain a patient's blood pressure reading of 120/100?
- Blood viscosity
- Blood volume
- Pumping action of the heart
- Peripheral vascular resistance
d
A patient's admission vital signs are: temperature 99.1
degrees F, pulse 75, respirations 16 and unlabored, and blood pressure 185/110. Which of the following vital signs is the most concerning to the nurse?
- Pulse
- Respirations
- Blood pressure
- Temperature
- Blood pressure
- Pulse rate
- Body temperature
- Respiratory rate
c Before discharge from the hospital a patient is taught to exercise by gradually increasing the distance walked.Which vital sign should the nurse teach the patient to monitor to determine whether to increase or decrease the exercise level?
b
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